| NPI | 1730643412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1011921) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R182070) |
| Enumeration Date | 2019-01-26 |
| Last Update Date | 2021-09-20 |